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061-480-034
� � 61-48-34 er'M-103130-86 �ew_ ga R iiA y ___~^^,3747--8, =^= = plqg for well [ / 61-48=34 78289B,P,E:,M 208 Bell Ranch.Rd� Ber `(new single 'family) 61-4 N4'mit# 1042 - (2nd renewal/782-89). Permit#92-O9OjB(-3r-d renewal) '061-480-034 03AG193 - 208 BELL RD, BERRY CREEK AG EXEMPT BUILDING CXo I- �50-KD ` r611 ' , ` . ^ / ^ ' � � � 61-48-34 er'M-103130-86 �ew_ ga R iiA y ___~^^,3747--8, =^= = plqg for well [ / 61-48=34 78289B,P,E:,M 208 Bell Ranch.Rd� Ber `(new single 'family) 61-4 N4'mit# 1042 - (2nd renewal/782-89). Permit#92-O9OjB(-3r-d renewal) '061-480-034 03AG193 - 208 BELL RD, BERRY CREEK AG EXEMPT BUILDING CXo I- �50-KD ` r611 ' , ` . ^ / ^ ' / W-1b �D BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 5 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is A structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place'used by the public. ASSES(5PA CELO�� �/ D w 'Z ZONING �r t� OWN PHONE NO. OWN �'jp L V i, -t ��'i oti /T LOCATION OF BUILDING -5-0-P71 e— a-4 Ire- e v USE OF BUILDING I zers e74 -c. SIZE 60STRUCTURE � � � 32-0 —'X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF qIDING I ROOFVERT /` FLOOR T E S ESTIMATED COST OF CONSTRUCTION ai 00, $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: !� r � � FRONT s'" SIDES *"� REAR -:20 lt'`—' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. , AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. e r ,yr I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in ec t that time and before occupancy. Date 10-6-03 Permit Fee—$60I Receipt No. YY1O Signature of Owner The above described AG Building is e0mpt from a Manager• • •• ByAKT- 6y;�� . te X11 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant dJ L 7y-7 PERMIT NO. 3130-86B PERMIT EXPIRES-- kb,,�g2_. OWNER BRUCE JERNIGAN CONTR.. owner, ASSESSOR PARCEL 61-48-34 LOCATION 208 Bell Ranch Rd, Berry creek OFFICE- COPY Address GAS Date Meter By %e ELECTRIC Dat' Meter By i 1 i' Temp. Power Pole Called PC Temp. Elec: S, Called PC Temp. Gas Seg Called PG JOB FINALE[ Signature J• =• OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready I f MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. W/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI "Date 41 l J = OK .•,i{; 0 = Not OK 'NotNReadyable , ; 1 �RESIDENTIAI (Single and Duplex),. 1 • = Not Ready .�1(J<L'�:�.{ "i l:.tit•t .�E.;c}Ii�";iir�rrt Date UNDE LOOR (Plans) OK except #'s _ - -` 1 Date ----FRA ING-Continued - -----Zo - - requirements -Setbacks -Easements- --- - -- - - - Firewall & Openings- ---- - - - Openings -- Main; Soils-Steel-Elec. Grnd:= / 1 ' Ftg. Depth f 4 t. -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits' -- - tg., Garage; Soils -Steel- / + -/" Ftg: DepthWidth-Headroom-Rise-Run= Land ing'"_'Fire' Protection _ ��rches & Decks; Soils=Steel-V '14" Ftg: Depth ( 5 _. lywood on Roof Overhang -'Attic Vents -Rafter Outriggets _IIs' Main; Steel-Blockouts=Wrapped-Slab v„ A + i,5 , Siding�Nailing-Veneer.n , : 1-fe :' ioo t ..m7E n +• te_mwalls; Garage; Steel-Blockouts-Wrapped-Slab •-A Aea Mesh -Drip Screed-Fdn.,Vents-Underflr.,Access - - 7. Piers -Fireplace Ftg.-Steel " A ) 8. D.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test ., , ,1 Glazing Area -Glass Protection -Skylights. -Plastic ,r� ear Walls; Nailing -Bolts " Gas Pipe; Size -Anchors j - - - - -- -• - _ 10. Water Pipe: Test -Anchors -Regulator -Service Test - - 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support - Ins: • 0 1 .Cr n•s , s +3•ma.i --13`Girders. Sills=Anchor Bolts -Joists -Vents -Cripples tY err: - .___- _ __ r-... r •+ 9, r._1• Q'f fr I ( _ _ Card -BI / Date • 1., 1 Card -B17 'Date a•mj !F1-oif: 0 Card -BI Date„ , >in 1.r,Card,Bl.rp 1 ;r ; Datet 1;` ,� .1clnr, +r, r: Card -B1 " --Date _ Card -Bl Date -� --` Card -BI yam/ Date�� Card -B Date4r„J Date FIN ..>r'1- ,iso?•- w t .0 (Plans) OK except p's " _. Card -BI Date, Car I - - Date t Date PLUMBING (Permit) OKxcept q's - - Ext. Steps -Door & Sidelight Protection -Landings - Card -BI Card -BI 14. Water Ht.: Vent- cess -Combustion Air- - {. 15. water Pipe; Tes &Anchors _Nail'Protection "= 16. D.W.V.: Test Itngsr& Anchors-NaII'Protect ion ' 17. Shower Pan• est, First Floor -Tub Access, 3 18.,•Test Tub Shower,,2nd Floor -Tub Access ,n , , 19. Gas Pi ` Size &Anchors „� - r, ;;;, t - - t -�•.r` Date _ Card -BI Date - - j DateCard-BL �- Date- _"` - _ ' .j 5A Furnarp-ypntc-rloarance-Comb.'Air-Connector-U"' In Garage; Above Floor-Ducts=Mech: Protection 1y: '�f d 6 �- 1 1✓ rrr ? t.n. a fixtures &Tub Access.,;., �• Elec. Trim & Subpanel; Breaker Sizes -Labels , 62- Stairs &Rails 63. earances-Hearth 64. anel; Int. & Ext. 65• Appliance; Grnd.-Air Gap -Cooking Clearance 66 Fler au9e46-&-RvceMcies at Kit. Counter !' A r:-) _ , -- Date _ -- - -_• - -- - -•- _ .. _ .-_ _ _ .._ -_ _ . _ . _.i ELECT CAL Pern,iq OK except q's 67 -- 68-A 69..-W44- -Landing-Closer ," y c1n 1 r n r`t arance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection r Card B -I Gard B -I - xture & Transformer Clearance - Ins. Protection 2tv 5) c Aeceptacies Spacing -Lights & Switches at Doors 2 -)j /xes & No. of Conductors -Stapled 23j/ t1,Omex Installed Close to Edge of Studs & C.J.` 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water __2Appt1';n6e Circuits in Kitchen & Conductor Size Wire Size i / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At 7. ga. Cu or AI -Oven Circ. / / ga. Cu or AI, sulated Neutral Yes -;No _ - Service -Riser Conductors & Ground -Main Disconnect_ - 'airalearances: Panels-Motors-Mech. Equip. 38--�+erhesCloset Light -Shower Light - _ Date Card -BI _ Date_ Date Card -BI Date - -- 7 b., Elec. & Mech. Equip. Listed for Location 1 let. Receptacles in Garage; (G.F.I.)-Romex Protec. 72 in Attic C] Yes 73. 9k Gonstruction-Post Caps 74. !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75• Following instld.: Drive Yes Walks ❑ Yes Planters ❑Yes 1K 7 - tnis Tr 77• 0i9c Irnces-Brkr. & Cond. Size -115V Outlet - 78• ,-Appliance-Firep1.-Clearance to Opngs. Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81.E Pntilatinn thr •, 1 House - 82.-PrIIiEClTlftt Date MECHANICAL (Permit) except q's COS. Corrections from Previous Inspections 84. -fir.- 'r-M-eTe-f Tagged; Gas -Electric Card -BI Card -Bi 31. A.C. Ducts. In ,tion & Support - _ 32. Vent Fan: aust above Insulation _ 33. Conden to Drain & Overflow: Size _& Grade _ _ 34. Furn ce-Vent. Access -Comb. Air -Return Air Vent -115V outlet 35. Ani Access & Platform if Furnace in Attic Date Card -BI Date - _ Date Card -BI Date 85. ewer Connected -C/0 to Grade -HD Approval 8 nce Certificate -Other Certificates - - - - -- ' - Card -BI Date Card -BI Date TEO a Ie Card -BI Date Card -BI N Date Card -BI Date Date EfI74MING (Plans) OK except q's Com ients at Final: 36 S' Proper Material & Anchors Wsy+s: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 1 Walls (rat proof) re Stops. Furred Ceilings -Stairs -Chases -Tub_ Head r & Beam -Size & Bearing Ws -Post Caps -Anchors -Connectors 4 Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. lace Ties or Type A Flue -Fireplace Throat 45r-*Trrc-Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46_-64ret. Windows or Exiting Doors -Sill Hgt, & Dimensions 2rforage Fire Protection Framing - - --- V---- -- - - - - (NOTE Anentrymust be made each time youvisit jobsite) DATE PLACE " PLACE I' PLACE ' I LABEL' II LABEL 'I I PLACE ' I PLACE ' ' PLACE ' ' " LABEL ' LABEL LABEL LABEL ' HERE II HERE 'I II II j HERE HERE HERE `----------J `------=---J`----------J `- - - - - - - - - - � %,_ - - - - - - - - - J `- - - - - - - - - - J PATIENT ADDRESSOGRAPH INFORMATION -- - - - - - - - -,----- - -- - -,---------- 1 - - - - - - - - - - -,r - - - - - - - - -- 1 I PLACE I I PLACE I I PLACE I I PLACE I' I PLACE I I LABEL II LABEL, II LABEL II LABEL '' II I' LABEL I HERE HERE HERE II HERE'I I II 11 II II HERE ' I `-- - - - - -- -J `----- - - - - - J `----- - - - - - J `----- - - - - - J `----- - - - - - J r-----------1 ----------1 (---.---1 r---------- 1 r----------- PLACE --------1 PLACE " PLACE -. " PLACE " PLACE I' PLACE ' I LABEL' II LABEL 'I LABEL I' LABEL I' LABEL ' II II I HEREII HERE II HERE II HERE 'I II II HERE I `----------J `------=---J`----------J `----------J-- - - - - - -- --------------------� r - - - - - - - - -- � r - - - - - - - - -- � ---------� I PLACE II PLACE PLACE I' PLACE II PLACE I I LABEL LABEL II LABEL " LABEL I' LABEL I HEREi� HERE. �j HERE ,j HERE ij HERE `----- - - - - - J `----- - - --- J `----- - - - - - J `----------J ---------J ----------1 r - - - - - - - - - -- ----- - - - - - - ----------1 r --------`, I PLACE I ' PLACE I I PLACE I ' PLACE ' ' PLACE ' I LABEL II LABEL II ( 11 11 LABEL II LABEL II II II LABEL , 4 I HERE II HERE I.I HERE II HERE i� HERE I `----------J `----- - - - - - J `----------J `----------J `--- - - - - -- J 6565 CM COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ::�'eT'j I � «/ 3z, - K OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ,.� 6�— Date 12 ;� 2%� COUNTY OF BUTTE . - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER i PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correctio f work is completed. If you have any question pertaining to this matter, o eed additional explanation, please contact this office immediately. Date 6 d V 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND tPERMIT PERMIT No.. v /�D O ASS SSpR P RC N1.11R Zo BUILDING PERMIT OWNER1,;2 r OW7 TELE HONE —3q 1 SO. FT. OCC. BUILDING VALUATION OWN R'S ILING ADD SS 1 CONT ANAMEELEPHONE 0 0 YLI,-A,, t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 7s PLUMBING PERMIT Filing Fee 10.00 41 Each Trap 2.00 ^J4 Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME RRCEL MAP 0 d — Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRU RE SF ❑ Duplex❑ Mobilehome❑ Other_111 �fif G SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK NeW Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: -W x 36 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification • I, as the owner, or my employees with wages as their sole compen- sal ion, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.d , OR A.D.S. C AGC. BLDGS. /20sgft NEW RESID,MULTI-OUTLETNCHCI2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL@ eALe0 3 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 1� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co ence of the granting of this permit. X Date Signature of Appli — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ j oCCUP, CONST.TYPC PLoo PARCE PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date I/ the applicable provi- resolutions to do fees have been paid. WORKS Date,C-'LH d'lo -c, 'd —L ` Receipt No. r fg(� WHITE -D. P. W., YEL LOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, (gLI,FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ��12 /U1 ��9�: /J�C.�(C A. P. No.�o� Proposed Building Use���-. Building Inspector�h'J: Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1, All 'items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6.' CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .` 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorizatio '. . . . . . . 19 A 10. Sanitation approval from alth Dept. 11. Planning approval for (A) Use: - (B) Parking: - arking:12..Certificate 12. Certificateof Workmen's Compensation Insurance. . . . . . i 13. ,Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 16, Mobilehome Installation Data. . . . . . . . . . § 17. Pre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector 18, Recorded copy of Agricultural Acknowledgment Statement. 19. -Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor, Telephone and hold for pickup atoffice, Deliver w/inspector., * Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). C3ntractor, designer, owner, was advised of above required data by_phone---Jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Flans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date% — Flours: 10:00 a.m. - 3:00 p.m. To: juiiding Department FroT;: -mvironmental He-I-Ith F-uhject 7'tation Clearance Ot%tOr Location AP/I Plan Approved for: Sewagc dispor;al eater supply Hold final for: rater supply Firal. clearance O.K. for: water supply Clearance for bedroom mobile home. Other N07E Sanitarian Dat("z4zz -ZZJ-6 R COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement -(yes or no) t�LS 2. I (have/have not)' Gi_V e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ,Address City Phone Contractors License No. - 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work.- Name ork;Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner=Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. ; This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. / ASS S OR PA8JEL N M R (/a_ (8� J ZONING BUILDING PERMIT ow r R T EP�iQ SQ. FT. OCC. BUILDING VALUATION OW E 'SAAILING DDR CO OR' AM TELEPHONE CO R rTOR'ISMAILTNG ADDRESS Fireplace CONSTIRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New ❑ Addition Re del ❑ Uti Igs ❑ Installat' ❑ 0 Describe work: r \ Ei t/ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACT S LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR W CONS. ADDNST � ACCLBLDGOCS. °� 2'/20sgft NEW CONSTR. ULTI.OUTLE NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES B2AL930 FIXED APPLNS. OR \ Ex. Occup. OUTLETS IRESID.I EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc �yirin 9 15.00 t V I 1 1,10 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Dep&rtment a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i ns quence of the granting of this permit. - L— Date f�o ,��._f Signature of Ap cant — p4e, ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ L OCCUP. CONST.TYPEJ I FLO PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi above for which DIREC F PU _r B PE MI EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS Date Receipt No. WHITE-O.r.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma' labor and materials for construction of the proposed property improvement (yes or no) �S 2. I(hav -/have not) ,�� Qom- signed an application for a building permit fo a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner rYJGPi_ Social Security Number Date �e _,I � '-0 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before.we are per- mitted to issue the permit. rr r• JERK-' GAN,, -B'ruceI." & Peggy 208'.'hell R nch °Fd,,"Berry Creek (new single fm y.J' j -* FINA;LED:;,,/ Y._ PERMIT EXPIRES OWNER • r ,• k, CONTR. ASSESSOR PARCEL i, LOCATION C _a If VW P x Temp. Power Pole Called PG&E Temp. Elec. Service ` Called PG&E Temp. Gas Service p Called PG&E JOB FINALED (Date) Signature a I r rr r• JERK-' GAN,, -B'ruceI." & Peggy 208'.'hell R nch °Fd,,"Berry Creek (new single fm y.J' j -* FINA;LED:;,,/ Y._ PERMIT EXPIRES OWNER • r ,• k, CONTR. ASSESSOR PARCEL i, LOCATION C _a If VW P x Temp. Power Pole Called PG&E Temp. Elec. Service ` Called PG&E Temp. Gas Service p Called PG&E JOB FINALED (Date) Signature a = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date it Y'.. MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date = uK 0 = Not OK - = Not Applicable = Not Ready Date UNDEI RFESIDENTIAL (Single and Duplex) OK except #'s I2.'Ftg., Main; Soils-Steel-Elec. GwU.-/ 3. Ftg., Garage; Soils -Steel-/ /" Ftg 4. Ftg., Porches & Decks; Soils -Steel-/ . temwalls, Main; Steel-Blockouts-W 6. Stemwalls, Garage; Steel- Bloc kouts. 7. Slab; Steel -Wrapped 8. Piers -Fireplace Fto.-Steel W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors MeWater Pipe; Test -Anchors -Regulator -Service Test ums &-Djidts: Clearance-Material-Suoort-Ins. Bolts-Joists-Vents-Cri Insulation Card -B1 � Dat - e Card -131 Date Card -13 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s $"star Ht. Vent -Access -Combustion Air -Baffle 11 -Water Pipe; Test & Anchors -Nail Protection 18-D'W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 2e_T4sLSub-& Shower, 2nd Floor -Tub Access 2J.-6as Pipe; Size & Anchors Card-1311�f, Date/�/fiyA) -Card-Bt Date I Card -B1 Date Card -131 Date Date ELECTRICAL Permit OK except #'s L2"Ixture & Transformer Clearance -Ins. Protection pi2�Eiec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of X25-Romex Installed Close to Edge of Studs & C.J. LZ6xEquip. Ground made up w/Mach. Fasteners -Bond Gas & Water 4Z7, -2 -Appliance Circuts in Kitchen & Conductor Size/G.F.I. 128-Subfeed Wire SizeQ/ ga. Cu o .C. ire Size /ga. �� AI Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. ed Neutral Yes No Conductors & Ground -Main Disconnect 131. Equip. Clearances Panels-Motors-Mech. Equip. I Closet Card-81,ffyf- Date�� Card -61 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support 135. Vent Fan; Exhaust above insulation p436. Condensate Drain & Overflow; Size & Grade X37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38.-Aitic-Access-& Platform if Furnace in Attic Card -81 Datet2/gy Card -B1 Date Card -B1 Date '" Card -131 Date Date FRAMING (Plans) OK except #'s Sills, Proper Material & Anchors Wags Studs -Nailing, Spacing & Bracing—Plates-Sound Bearing Walls over Girders & Floor Nailing 2. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub !*Ir- Header & Beam -Size & Bearing Date FRAMING (Continued) gers-Post Caps -Anchors -Connectors Mg. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat Clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions b0�Garage Fire Protection Framing ane -Firewall & Openings t xt. Doors -One 3' -Check Gavage -3rd story, 2 exits ,4�43. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection wood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 79 ash -Drip Screed -Fd. Vents-Underflr. Access X57 -Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts nsulation-Wal is-Clg. 60. Infiltration-Walls-Wndws Card -B1 ' Date Card -B1 Date Card -B1 Date 1 jq�� Card -B1 Date Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings moke Detector Furnace; Vents -Clearance -Comb. Air-Connector- nrGarage; Above Floor -Ducts -Meth. Protection LaWj3edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails /y. / fireplace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 1 Elec. Outlets & Receptacles at Kit. Counter arage-Damper 1,414. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 14,,l=feo_Beceptacles in Garage; (G.F.I.)-Romex Protec. Insulation m- ooked in Attic D Yes Guard Rails & Deck Construction -Post Caps i/ . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor oyes 80. Following instld.; Drive Yes o; Walks 13 Yes No; Planters ❑ Yes QNo rown-Finish C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; PIbg.-Appliance-Firepl.-Clearance to Openings. ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground . entilation throughout House Glass Protection 80. Cqprections from Previous In ctions Gas T&44115ters Ta as -Electric 9 . ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ng Certificate Card -B1 Date -rd -B1 Date Card -81 Dat e�rCard-B1 Date Card -131 Date Card -131 Date Comments at Final: S �''.f ��4T �,<a t T� : 4 t: ��. +.+`�',. ?' � z v.ut`• .y .tom... .., 0. `'4. ,. .',, 1 . :,GER',F[CATE OF C. aM};, OR:MANCE .x H. . UNDERSIGNED. MANUFACTURER HEREB Y CERTIFIES that the: products identified below 'and on attached_sheets Nos: are marked -' with the collective mark -of the American Institute 'of Timber Construction (AITC) and are manufactured in accordance with the manufacturing and fabricating provisions of CMPqP.R 2S nF and that such manufacture has been at our plant in stem a , which plant has aualit control s quality y approved by the Inspection Bureau of the' American Institute of Timber Construction and inspected periodically by such Bureau. JOB NAME: JOB LOCAT CUSTOMER'S ORDER NO.DATE 6/13/90 5522-1304 ' MFGR'S ORDER NO. "24F -V4, Comb -,Arch App, WP Glue,-lndb Wrap" TITLE • SUPERVISOR ADDRESS HIGHLY 99 Sam DATE r A TC HEREB Y CERT/FEES that the said company at its. said plant is licensed by the. AMERICAN INSTITUTE OF.TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said code and report(t), that the adequacy of •the quality control system. in effect at said plant is periodically inspected and verified by the Inspection. Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, -in the judgment of AITC, said company -is capable of complying with applicable manufacturing and testing provisions of said code and. reports) in respect of products manufactured at said plant. Con- formance with the said code and reports) in respect of anyyspecific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is-, qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC C'rtificate-Wo 0 9 4 91-E :'.:.<l".':. ?—i`^r..�'�'�••'.r+J�Y���.... •. .� .j;r� S -t►- .. � -a..: a "�: i + COUNTY OF BUTTE BUIL,PING�DIVISION tr DEPARTMENT OF?DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - ) (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747'Elliotf-Road, Paradise, CA - (916) 872-6307 } CORRECTION NOTICE' ti} wrNirICI H 9z- 9CD-73 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, , ,r please ntact this office immediately. R s 0 Date Inspector REV I /2 R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 i 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE a� MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �� Inspector. /'/ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R PERMI N0. A routine inspection indicates that the following violations of County Ordinance r exist at the above address and should be corrected. Please notify this office - .. when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �,Q COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE l�rn,'9� 10gz OWNER ` / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma r, or need additional explanation, please contact this office immediately. �"AVA Date /Z `" Inspector -e/ 114 i v .ENUGY "TA'STALLATION CERTIPT- t Building Owner Building Permit, # 794R Building Location 4Val �� --- DESCRIPTION OF INSULATION ROOF /11� Material Brand Name Thickness(in es) Thermal Resistance (R Value) EXTERIOR WALL Material— ��j G i Thickness(inches) CEILING Batt or Blanket Typehber WA=�S- Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATE Material . Thickness'(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material f� Thickness(inches) Brand Name. r Thermal Resistance(R Value) Brand Name W&*!§ Thermal Resistance(R Value) Brand Name .. Number of -Bags / Wt. per bag lb. Thermal Resistance(R Value) Brand Name _&dVj1,,e—. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, - ..1s consistent with. approved -building depart-men�t-plans--and attachments -and- con - f with requitement of hapter 2-53 of State of Califo�ni Energy Requiremen STATE CONTRACTOR'S L' 'SE N0. Az 11eq SIGNATURE 0./INSTALLATION APPLICATOR AATIF I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standardsand C pter 2-53 of the State of California Energy Le uirements. BUILDING CON ACTOR/OWNER lease Print) STATE CONTRA OR'S LICENSE N0. (FIRM AIME) SIGNATURE /OWNER DATE HVAC F NAME/OWNER (Please Print) STATE CONTRA OR'S LICENSE NO. 41A-1 Mo/OWNE DATE THIS CERTIFIC MUST707F WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE OSTED WITHIN THE BUILDING. SEPTEMBER .1.988 M 4 W 7 /538-7541 ASSESSOR PARCEL ,NUMBER (01' Qlz — �319 ZONING ( BUILDING PERMIT O WN;ER TELEPHONE ;yr, 5Q. FT. OCC. BUILDING VALUATION ✓{t •tn �� Y L4-44 % ) w OWNER'S_ MAILINGADDRESS V �. v CONTRACTOR'S NAME I" /! - TELEPHONES.. CONTRACTOR'S MAILING ADDRESS Fireplace a..�• CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS -Filing Fee ,$ 10.00 :- Permit Fee $ AT,) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ j fly i^;. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit 0Q l�lrr �Uy tee 17 $� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 .iat7>vE.1- -PI-1)✓ Solar or heal:-ump"water heater 20.00 „ LOT NO. SUBDIVISION NAME PARCEL MAP V- Water piping 5.00 C.�_,j Each qas water heater or vent 5.00 ,(,( USE OF STRUCTURE SF Q, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 rte. Building sewer 5.00rr')) J Mobile Home S G W 10.00ei, TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation[] ,Other❑ Describe work: r Igo ��;-- ` . Permit Fee $ J Contractor k. - - ELECTRICAL PERMIT Filing Fee 10.00 • ` Main service 100 00V OR LESS 1AMP OR LESS 10.00 � ),� o Main service EA. ADO'L 100 AMP 2.50 <7 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): �: ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ' f I, as the owner, or my employees with wages as their sole compen- '`.sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLIN,GtO'CC P. a` , OR ADDNS. ACC. BL�,D ,G$, / / �z¢Sq ft;7 NEW CONSTR. MULTI -OUTLET NON.RESID .BRA CH CIRCUITS) 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES\ 5ALO 30 t Ex. OCCUp. OUTLETS FIXED P(RESID INS KEA.) 2.00 Temporary service 10.00 ....ter. Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 44 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r^a I shal I not employ, any person in any manner so as to become subject to to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you -must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor - MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling!/\4 Hood 3.00. Ventilation r Pennit Fee $ "5_1 Ot Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposss. I also agree to save, indemnify and keepharmlessthe County of Butte against all liabilities, ud ments, costs, and ex enses which ma in an wa accrue against said County in consequence of the granting of this permit. X iLfs.. Date -tea` _ f "-4 0* Signature of Applicant - Owne,r.®�� Contractor ❑ Agent ❑ An OSHA permit is required for e�Ccavaiions over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 11 �„ 1 S � occur. RR3ISCHOOLI CONST.TYPE 'FLOOD 'PARIL D HD/ ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above ,for which DIRECTOR OF PUBLIC ) .// i/�-� By r PERMIT EXPIRES Date !aI the applicable provi- resolutions to do fees have been paid. WORKS Date�� U - stories Receipt NO. �-^�' VM) fWMITE-D.P.W.. YELLOW-ASEE330M. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEFrARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95'965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PET N0. e 2, AUrOR -15E PAR EL MBER ZONIN M51111.110.1h A" Arg BUILDING PERMIT ASK OT R TELEPHONE SQ. FT. OCC. BUILDING VALUATI OWNER*S_WAILI ADP9EWU1 yy a ONTRACTORSN ME TELEPHONE C N RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee 4 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap Solar or he ter heater 2.00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1-- 5 outlets 5.00 S. Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New%Addition [IRemodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: I Permit Fee $ Contractor S- ELECTRICAL PERMIT Filing Fee 10.06 Main service 600V OR LESS 100 AMP OR LESS 10.00 •6 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification as the owner, or my employees with wages as their sole compen- X,,-ation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWEL I C P. OR ADDNS. ACC. ) , h¢sgft NEW CONSTR. MULTI-OUTLET2,50 NON •RES ID RANCH CIRCUITS) ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occu p OUTLETS OR FIXTURES ao 050t eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �( 1 shall not employ any person in any manner so as to become subject 'to the W. C. laws of California. Notice to Applicant: If after making this statement, -should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating n Cooli g Hood 3.00 3. Ventilation Permit Fee $ 4 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, c s, and expenses which may in any way accrue✓ aga' st said Co in se encs of the granting of this permit. Date 3-a� Signature of App ' nt — 0 erContractor ❑ Agent ❑ An OSHA permit is required fore cava ions over 5'0" deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE. $ o o� CONST.TYPC JS::!�FL ARce} Po Noall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ' -' 1 PE5"T EXPIRES Dater�7 the applicable provi- resolutions to do fees have been paid. WORKS Date ---z-')/ meq` V Receipt No.Y(M WHITE-D.P.W.. YELLOW -ASe ESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT OWNER'S NAME: PERMIT #: When approved, process as follows: A. P. #: –� -4 Mail to owner (Address) Mail to contractor G, (Name and Address) � — Call �/� and. hol r pickup at �� office. ©rs �i-,500L� & 'fi g Deliver wit11 next inspection. RECEIVED DATE TIME REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required n7 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILD1,NG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Used �AA_p Building Inspector Permit No. !� Date �, f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have submitted . .................................... Plot plans i duplicate triplicate, signed by preparer of plans........ . Complete plan's uplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................ . 3. Sanitation approval from �,I, 9 �„ Health Department ... ' 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... .^ 21. Certificate of Workmans Compensation Insurance .................... 2.Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .. 23. Recorded copy of Agricultural Acknowledgment Statement ............— Leor of signaturppjjTnorization ..................................... Whe ou issue the permit, process as follows: ,Mail to owner. Mail to contractor. Telephone .589-M4,17 and hold for pickup at office. Deliver w/inspector. Other Or 89'(0 - SOeo Applicant ,_ Date `�` , �, n� Copy of plans sent Health Dept., Fir Dept., Other Date The following data must be submitted prior rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mal l ou r by date Plans checked by Date Plans approved by Date meets of plans on hold in A*<Ie cabinet AP folder Copy—DPW TO Building Department ! FROM: Environmental Health �+ SUBJECT: Sanitation Clearance 0 er. Location AP# Plan Approved for: Sewage Disposal _ Water Supply l Hold final for: Water Supply Final clearance O.R�)edroom for: Water Supply Clearance for -fie-home. Other NOTE *** Sanitarian fDaee COUNTY OF BUTTE - Department of Public Works' 7 County Center Drive, Oroville, CA 95965 Phone:. 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m Tabor and materials for construction of - the proposed property improvement ye or no)� S . 2. I haav /have not) ✓ signed an application for a building permit for "hero osed work. P P 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner-� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # %a,:k- OWNER ibAu Gid TA AN / G **-) A.P. # `/' �' • 3 �/ "a GENERAL 4000 Zoning requirements: (sideyards and number of permitted living units). t:�Valuation. . Plans signed by designer. Energy Design and Compliance. Existing violations on property. PLOT PLAN mplete parcel size and dimensions. 9900�,$etbacks, sideyards, easements, etc. g/ Other buildings or structures. Aolo'Srading, fills, drainage. �F�ood hazard. Special conditions on creation map or compliance document. FLOOR PLAN �omplete to scale plan with dimensions. Q1 Required windows for light and ventilation (Sec. 1205). ::�quired windows for second exit (Sec. 1204). �,t�ylights (Chapter 34 & Sec. 5207). .�"Unan impact glass (Sec. 5406). 8�� /Re'quired room sizes, ceiling heights (Sec. 1207). ftO G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 4o�ight fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. —N?A �arage firewall, door size, and closer (Sec. 503(d)(3)). jVo0*'0'l - 3'0" exterior exit door (Sec. 3304(e)). --ItiFireplace and wood stove location. 10000'r Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Qol000'Foundation plan complete enough:to construct building. 0e�loor construction details complete enough:to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 09#06-A O&SAOF mw4!'Fireplace construction details and calcs if necessary. sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR fl.;,xposure I plywood on exposed locations and overhangs. 200 Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). —9 --Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). a�0-11- 6tpper roof pitch for roo co Bring (Chapter 32). after ties o aring rid e to' RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 7#4 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) a-0-- Garage door or porch header sizes. A/ Adequate bracing. -4.0— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. •Z_o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). ! Attic access and ventilation (Sec. 3205). 410 Underfloor access and ventilation (Sec. 2516). ��� L. --combustion stoves, clearances, alcoves & 1 -hour shafts. �L.Combustion air for fuel burning appliances. '0l'Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. 1 Unusual shape, size or split level house requiring lateral design. AA "#*U . fy44 lyb�r I�rI�O AA J A4010*V ( 533-jC*O oxo 14woo .) 000 Doo ftO Sod, '3aL' 7�wA ilaA�) e 11 Y� .2JJ578 c VI rF of c Alk& GK5 -tZwv^ 0 l�`�j T e-77 fat 7-2 Ild r LL+QL� ooa 24=� Baa ra W �. PLO I '4i ..7 14 d. sy-- s 0 7 V R , l fi Z— 382. �5 C ___ I IL066 ...3r& T)P� , (NL 3$2< S����� r v � 1 Return Lo Dl'W AGRICULTURAL STATEMENT OF- ACKNOWLEDGEMENT r FOR RESIDENTIAL DEVELOPMENT Sccti.on "26-8.1 of' I:he Butte County. Code requires, this acknowledgement be recorded I)r.iur Lo is ;uancc crf ;.r building permit. 199-01026.1 ; Rec Fee 5.00 The proper. Cy described herein is adjacent ; Cash 5.00 Lo .Land or 'included within an area zoned Recorded for agr:i.::u.l.Lural purposes, and residents Official Records ; of this :)r.operty may be subject to :incon_ County of PAM oH-OWN veni.ences or discomfort arising from the Butte ; use of agr.icul.tural chemicals, including, Candace J. Grubbs ; but: not - im.i.ted to herbicides, pesticides, Recorder ; and fert:i. Li zer. s; , and from the pursuit 2: 00Pm 3 -Mar -89 ; Bc' 1 of agr:i.culCura]. operations including, t blit not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,', smoke, noise, and odor. Butte County has esLab.l.ished ;igrirul Lura.1 zones which have as a priority' use for productive agricul.lural purposes, ;rnd rv:;idrnl r; within ;;a i.d Zones and on adjacent property should be prepared. to accept such i nCunvell i cll o or d-iscoi:form from noxmal., necessary .farm operations. A.l.l that. real. property situate in the. County of Butte, State of: Ca.l.:i.,for.nio, de'suribed' ;Iti f o.l :Lows : + l C' e i trz lrl �r �:l u n ft, Sir'i t l ieJ � �r�jnR C uuC ' .' C,f-5r'c:t/cjs'l 7, �p�o'�S,�j � 0 " ;moo Nj) i aI i � c.� i o'1 7 y� F_. c., � 1. e cT �E�C:��rE�F r � �`t� Gi ti 45�� (Jifor,41CL-) Oil 101 !X8, In floe, � 9 ff �� /.' R GV� � 3�. C3���� C' 7, Date: ` PROPERTY OWNERS: 777 ' 'e w S L a t e of nAj_ r-01?iJ On this the ? � r me day of /��/�f.0 N' before County n ) SS. me, 'the undersigned Notary Public, personally appeared c.int I -r R ;*j Iry.4 V El Personally known to me. 02 Proved to me on the brisis of satisfactory evidence. OFFICIAL SEAL to be the person(s) whose name(s) ARL .r lAIdET G��IORE TENNANT ubscribed to _ the within instrument and acknowledged that. T#JY_ p raofaRY v�ft3tic 'CALIFORNIA [iUffi Y xecuted the same for the purposes therein contained. IN WI'I'Nl.SS fires J Miry comm. ��pires JUN 1, 1990 HEREOF f I hereunto set m hand and of ficial seal. y 2767 Olive Highway, Oroville, CA Present A.P. No. - ��- Notary Pubic InteriorMassLCFA Si+ER "PC I IM55 I1.1.OIK•.. r l net duets In altle) (carpeted slob) t TYPE 1 KASS! (u1nC + 4.2. se: ex sed slab) N 11 of 7-10 0% S% 10% 15% 20Y. 25%"SOY.:35% 40% 45Y;+:507CnSS70 60+:6S7C'T0 1ilG"807G"�'l.''•B07C 957E- T00! f05% 110Y. 115% 1207.125' -14b -lb .fib '16 or 0Y 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 -5 +5 +15 more 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2.5 2.7 2.9 3.1 3.3 35 3.7 4 4.2 •4.4 4.6 4.0 5 52 54 -10 -8 -6 -d 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 . 37 3.9 4.1 -4.3 .4.5 --4.8 5 52 5.4 56 -6 -5 -4 -3 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 •4.3 4.5 4.7 • 4.9 S.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 -4.3 4.5 4.7 4.9 ' 5.1 5.3 5.5 S7 59 -4 -3 -2 -2 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 -4 42 '4.4 -4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 -3 -2 -2 -1 0 0 0 0 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 •3A 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 62 3 2 2 1 60% 1 1.2 1.4 1.7 1.9 21 23 2.5 2.7 2.9 3.1 3.3 3.5 3.8 -4 4.2 4.4 4.6 4.8 S 52 5.4 5.6 5.9 E1 63 5 4 3 2 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 . 26 2.8 3 3.2 3.4 36 3.8 •4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 64 7 6 4 3 70% 1.2 1.4 1.6 1.8 2 22 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 -4.6 -4.8 -5 -5.2 5.4 56 58 6 62 64 11 9 7 5 75% 1.3 1.5 1.7 1.9 21 .23 .25 27 3 3.2 .14 ..3.6 3.8 4 -4.2 4.4 -4.6 4.8 5.1 5.3 5.5 .5.7 .5.9 6.1 6.3 6.5 14 12 9 6 BOY. 1.4 1.6 1.8 2 22 24 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 '56 5.8 6 62,"64 66 SS% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 -4.2 4.4 4.6 4.0 5 52 54 56 59 6.1 63 65 67 Tedlve SEER 901: 1.5 1.1 2 2.2 24 26 2.0 3 3.2 3.4 3.6 3.B 4.1 1.3 1.5 1.7 _4.9 S.1 53 55 5.7 5.9 • 6.2,% 64 66 68 x Sud effiden 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 33 ' 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.0 6 6:2 6.4 67 69 c7) too*/- 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 -6-1/6.3 6.5 6.7 7 Si nof7-10 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 -4.1 4.3 4.5 4.7 -4.9 5.1 •5.4 56 5.8 -6 /6.2 6.1 66 68 7 •1410 -410 +6b 16 or 110% 1.9 2.1 2.3 2.5 27 29 y1 33 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6:1 6.3 6.5 6.7 69 7.1 -5 45 4.15 more 115%. 2 2.2 2.4 2.6 2.8 3 3.2\3./ 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 S.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 3,5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 6.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 21 17 13 9 125% 21 2.3 25 2.8 3 3.2 3.4 3.6\3.8 4 -4.2 •4.4 4.6 4A 5.1 5.3 S.5 5.7 5.9 .1 6.3 6.5 6.7 7 7.2 7.4 -9 .7 -6 4 6 5 4 3 Point System Summary: Clima a Zone 11/1/ 12 s 7 5 SCORE CARD N l 16 13 10 7 19 15 12 8 Measures .,5P Point Scores tjv is 20 15 0 1. Ceiling Insulation or c�� \x `� --� R -value [38] -value [0.u.ltrolAdjustment 2. WallInsulation 9 or7 6 4 3R -value [ 11] U -v a 4.098] System Installed 3. Raised Floor Insulation / f or R -value (191 slue 3 2 2 -4. Slab Edge Insulation 2 2 2 1 R -value (0) F2 factor (0.77] 1ST S. Infiltration Standard [rh p 7 Detached and Attached 6. Glass Heat LOSS f0 4� t � • S� � / � J/ Unit Size (sq Type double] U -value 10.651 Total Glass [ 16] Sum 1.6 12(.x^ 1700 2200 2700 7. Shading (Shade Open) b t0 t0 Or 1699 2199 2699 more % Glass SC .Eff.. o Glass 0 0 0 0 a. North_ x • 77 7, O 5 4 3 3 b. East , X 7 7 5 4 3 3 C. South �•� X •24 -18 -15 -12 d. West _ a. Ci x 1 -1 0 0 .9.. -7. e. Skyligh �� x = -16- -1.2. .10 6 17 OR -12 -9 -7 -6 8. Shading (Shade losed) GvK 4i £ -3 .2 •2 -2 % Glass SC Eff:"% Glass z 1 a 1 a. N( rth d x 16 _- A8-5- -f l -19 -14 -11 .9 b. ial st �Z. 3 x 6 -6 s .a 3 C. South /U • N x �/, q II nhy (individual units) d. West . S x =• y -q ¢ Z Unit Size (54 e. Skylight p x = !� 700 12M 1700 2200 1 99 16% 2199 MOM 9. Interior Thermal Mass TYPE 1 MASS AREA $ y 00 0 0 COND. FLOOR AREA el I Interior Nass/CFA 7 5 4 3 10. Exterior Wall Mass TYPE 2 MASS AREA = 5 3 2 2 ND. MOR AREA B 4 3 2 2 Exterior Wall Mass Sum 7.10 5 3 2 2 11. Heating System 7.1 x ., _ . 6 4-3 1 1 0 0 Zonal Control? ( Y / N) SE or HSPFDuct hificienCy 10.781 Effective SE or 12 -8 -6 -5 [0.7216.6] HSPF [03415.15] 1 2 _-8 -6 5 12. Cooling System g• q x = 7. 3 Z 3 -2 -2 Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.031 3 2 1 1 0 0 0 0 13. Water Heating 4 ] Credit [none] 9 6 d 4 15 10 8 Type [SG -4 -3 -z •2 Point Total: .y 'Certificate of Compliance: Residential Projedylue .2v�j �t,l. IZ�.��-4� CLc�p bE.1�12Y Gt2E.�K , Cts �} Project Address Documentation Author Telephone 1 I.JT 1 Compliance Method (Package, Point System or Computer) Climate Zone (Page 1 of 2) CF -1R FJdorcemeM Agency Use Only `GENERAL INFORMATION Total Conditioned Floor Area: I (o S . S ft2 Building Type: ✓ Single Family Hotel/Motel • (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: 0 % East / South / West / All Orientations (circle one or more) r Number of Dwelling Units: Floor Construction Type: Slab door (circle one or both) Fr Infiltration Control:ight (circle one) BUILDING SHELL INSULATION Component Insulation Locati on/Com merits Type R -Value (attic, to garage, typical, etc.) Wall .............. �_ T `(►0 I c-p\A,- Wall .............. Roof ............. !>u Roof ............. Floor ............. Floor ............. 41 Slab Edge..... 41A k 1 GLAZING Shading Devices ` Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single double) (roller blind, etc.) (shadesexeen, etc.) (yes/no) (metal/wood) oPAau E- BJH i TSE Front.... (}-�) _ 1�u�E �zc�ce SN�p�S \ nuc ,C-VZ.r.-Ej >Jo METAL_ Front.... ( ) — k(2 - Left ......F-) (2- Left......F-) 0b Left...... ( ) t=- \\1 2fL Rear..... (S) I7lo t Rear..... Right.... 1 Right.... Skyli'ght....... 8 Dc, u 6LC- 1.�y>Jt= iJu�t� fJo M �T Skylight....... SK`CL-14tir L-(,C^T'--o e F)CTca-(. - Fa- ,-T Pt, 2c THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath, etc.) FA N .✓ 1� life e w .6 A3 f y/ 4 Certificate of Compliance: Residential (Page 2 of 2) CF -1R Project Tkk Dale HVAC SYSTEMS Maximum Fumace Heating Output: j�e 1,000 Btuh RIOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc) Capacity (or approved equal) Special Feature(s) E�L-&CT1z-lC, 5�� vwNJF-a- -Z&UiLIX`IE- )1`15T 0 nLA S 1 E SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarics section. Designer Building Owner Name: Wpl�-(KJ[_ TDIL\I_t__e- Title/Firm: F- JDC- a \/C2 1c►.4 E -S Address: Py , gyX Telephone: Lic. #: 2-/2--5 � `) U (signature) (date) Documentation Author Name: \J6 F— D P\IL Title/Firm: 4r -A' -7 "S Address: —p,(,, e>e.,A 9 01ZoVtL.l.� CA, `i S`1CeS Telephone: 1 —534 -O v 27 (signature) (da&) corm Rcvited March 1988 Name: Title/Firm: Address: Telephone: 0 - (signature), (signature)„ (date) 1% Enforcement Agency Name: Agency: Telephone: IV.1 (signature or stamp) 1% .11 (date) , Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE SEER HSPF) (attic etc.) R -Value (Btuh) (or approved equal) *74,Z C9^WL- out, 04z od5o Maximum Fumace Heating Output: j�e 1,000 Btuh RIOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc) Capacity (or approved equal) Special Feature(s) E�L-&CT1z-lC, 5�� vwNJF-a- -Z&UiLIX`IE- )1`15T 0 nLA S 1 E SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarics section. Designer Building Owner Name: Wpl�-(KJ[_ TDIL\I_t__e- Title/Firm: F- JDC- a \/C2 1c►.4 E -S Address: Py , gyX Telephone: Lic. #: 2-/2--5 � `) U (signature) (date) Documentation Author Name: \J6 F— D P\IL Title/Firm: 4r -A' -7 "S Address: —p,(,, e>e.,A 9 01ZoVtL.l.� CA, `i S`1CeS Telephone: 1 —534 -O v 27 (signature) (da&) corm Rcvited March 1988 Name: Title/Firm: Address: Telephone: 0 - (signature), (signature)„ (date) 1% Enforcement Agency Name: Agency: Telephone: IV.1 (signature or stamp) 1% .11 (date) , �tan.da-,to:r.v=:Measures Checklist: Residential 1R VOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCR1MlON Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-1 1 weighted average (does not apply to exterior mass walls). §2.5352(1:): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor . transmission rate no greater than 2.0 pcmVinch. §2-.5311: Insulation specified or installed meets California Energy Commission (CEC) quality �. • standards. Indicate type and form. t§2 -5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltr,3don/Exfiltra6on Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. C. Doors and windows weathersuippcd: all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. A'40 ,§2.5.352(d): Installation of Fireplaces 1. Masonry and factor} -built fireplaces have: (. a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control C. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. §'_-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, Ihow•erheads and faucets certiried by the CEC. §2-5352(1): `Pater heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Excep6on f): Pipe insulation on steam and steam condensate return & recirculating piping. i M §2 5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. C. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures �.... 1 §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms §2-5314(c): Gas Cured appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers _and fluorescent lainp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 California Energy Commission DESIGNTER I ENTORCENIENT R:30 NFA R:19 N/A YES N/A YES YES YES N/A I YES BY OWNER BY OWNER YES j YES YES YES YES YES YES I BY OWNER1 N/A I, lIF APPLICIABLE YES IBY OWNER ' i YES YES YES Insulation Certificate Number and Street County Subdivision City Lot Number Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) . Signature and Title Sub -Contractor (Insulation Installer) Signature acid Title License Number Date License Number Date Description of Installation ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name Thickness (inches) _ Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufactw-er's installed weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) . Signature and Title Sub -Contractor (Insulation Installer) Signature acid Title License Number Date License Number Date Point System Summary: Climate Zone 11 Project Tlue BUILDING DATA Conditioned Floor Area Number Number of Stories Stab/Raised Floor . p.15 Check all applicable Unit Type condition(s): [,/Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) (] Existing -Plus -Addition "T -2R 2� z3 Z6 . Date SCORE CARD Glass Area % Glass North o 2.9 East ill_ 2.3 South -710 0.5 West I S 0-9 Skylight O)A. o Total 2-7 6 110-S SCORE CARD Measures Point Scores 1. Ceiling Insulation 30 or '�- R-value(381 U -value 10.0301 2. Wall Insulation or. .0(4 R -value [I l] U -value 10.0981 3. Raised Floor Insulation �_ or b R -value [191 U -value 10.037) 4. Slab Edge Insulation 0%P\ or o R -value 101 F2 factor [0.771 5. Infiltration Standard 0 6. Glass Heat Loss lDu btu (n 1(, •S - I (o Type [double] U -value (0.651 % Total Glass [ 161 Sum 1.6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. Notch 2 x G = Z.0 o b. East 2 3 x = 1. (o O c. South 10.5 x - 7.3 4 d. West 0.9 x = U. & -1 4 e. Skylight LJ A x = a U 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x 20 = 0. (. 1_ b. East 2 •3 x = 0.6 2 c. South 10. S x = 2.1 - Z 4 d. West o x = 0. Z e. Skylight 0/A x 7 = D O 9. Interior Thermal Mass J - Z Inferior Mass/CFA 10. Exterior Wall Mass O O Exterior Wall Mass Sum 7-10 11. Heating System 74 Z x .76 3 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.78) Effective SE or 10.7216.6) 11SPF (0.56/5.15) 12. Cooling System �). (, x y4 = 8.1 5 Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency [0.741 Effective SEER 17.031 13. Water Heating 16 {J01 -1f' -1 ` Type [SGI Credit [none) PoiPaual.- O U L Fom► Revised March 91. X04. ld '� p ^coax sl x x � — x a x � `Pa2rd X215 Jl.i.urNntq hn�z 1s3 s -� z =ovlx t�qo?I — 6S -hoo-o "tivly Wa t9 'IVQ.L 1SIVIa 'ri'lpl e Y3W � _ 14l 7r = c -,z x 737r -;r' ..11in�rnb 5'°I -o°Ix 5qc� I V;nN �OaH tinr-a �pc� -I VlIOj-.�- 04nos IV101 x '9 h x � x � � a = o bob c2l 1 9,7?ocg e Y3W � _ 14l 7r = c -,z x 737r -;r' ..11in�rnb 5'°I -o°Ix 5qc� I V;nN �OaH tinr-a �pc� -I VlIOj-.�- 04nos IV101 b'z - ooi x 581 - b I 7F #17morl - *10-1- x '9 x � = 9,7?ocg r7 �J(�12`d't� runos L-� b'z - ooi x 581 - b I 7F #17morl - *10-1- t . Proposed Construction Assembly:. Residential Form 3R Date Project Tltle �+ I'`ojeCt Address(916) 534-0300 Building Permit M `\/A -j Telephone 1?ocumentatlon Author Checked By/ Date Wood Sided 2x6 Exterior Wall EnforecmuuAgency Use Only { A\ccembly Name 1 i Floor 3 (check one) X Wall 2 i I I i Framing Material: Sketch or Construction Assembly Assembly Type: Floor R -Value (check one) X Wall Cciling/Roof Framing Material: WOOD Framing Size: 2 x 6 0.17 Framing Spacing: 16" o.c. 0. Framing Percentage: Wall: _X 15% (16" o.c.) (check one) 12% (24" O.C.) Floor/Ceiling: 10% (16" o.C.) R:19 .FIBERGLASS BATTS 7% (24" ox.) Wall Weight / sf: � -� (Packages ordy) 5..44 4 3. 2x6 FRAMING W R -Value List of Construction Components Cavity(Rc) Frame(Rr) 0.17 0.17 Outside Surface Air Film 0. 0.77 1. EXTERIOR WALL COVERING - 5/8" T-1-11 19.00 R:19 .FIBERGLASS BATTS � -� 5..44 4 3. 2x6 FRAMING 0.45 0.45 4. 1/2" GYPSUM -BOARD 5. - 6. �. 6S 0.6S Inside Surfacc Air Film Total Unadjusted R -Values: 21.07 7.51 R, Rr Framing Adjustment Calculation (if applicable): O.v bul ( C475 x .85 ) + ( 0.1332 x .15 Fr %-/100 ) _ 4 Total U -Value / 1 /Rc 1 -(Fr %/ 100) 1 /R r 16.55 = 16.55 1/rotal U -Value Total R -Value W Shading Coefficient (SC) Worksheet Form S _S -- _rr:.� combinations not found inTable d-9 of tht: ECM by using . Items 1- 9a and 10a must be comppleted for glsiing/slwling . documented manufacturers' data for the specific conditions indicated (#2, #8 and # 11). For instructions on fillingg out the l worksheet, see Shading in the ECM Glossary. For overhang SC values (# 14 and # 15), we Section 42 in the ECM. .l General Information 1I- ,-1 H I M 1. Glazing 'Type: 1:;�o LA 6 t_t: 6. Interior Shade Type: R,* -Le -,Z SrtAP r—S 2. SCglazing alone: 7. SCshade open 1.00 3. Framing Type (metal/wood): M FTAt_ 8. SCshadc closed . 2S 4. Mullions (yes/no): 00 (SC of shade w/ clear single glass) 5. Framing/Mullion Factor. . ad (from Table G-10) Glazing, Interior Shade & Framing 9a. [(1 v x 0.25) + 0.751 x -2)Y x . 77 Where: SCmax SCnun FMF (#5) SC Shade peen SCmax = larger of #2 and #.7 SCmin = smaller of #2 and #7 or 9b. .-7-7 (from Table G-9) - SC Shade Open 10a. [( 9'6 x 0.25) + 0.751 x 2S x --nun `b� _ _ 21 Where: SCmax Kc FMF (#5) SC Slade Closed SCmax = larger of #2 and #8 SCmin = smaller of #2 and #8 or 10b. . &(0 (from Table G-9) SC Shade Closed Exterior Shade Exterior Shade Type: -tCTSC— I 1. SCexterior shade: '7 / (from Table G-11 or manufacturer's data w/ clear single glass) ' Where: 12. [( 77 x 0.25) + 0.751 x 3 = ca -1 SCmax = larger of #9a or #9b and #11 SCM= SCIn n SC Shade Open SCmin = smaller of #9a or #9b and #I I Where: 13. x 0.25) + 0.751 x 21 = 20 SCmax = larger of #10a or #10b and #11 SCmax SCnnin SC Shade Closed SCmin = smaller of #10a or #10b and #11 Overhang (Point System Only) 14. I.() x .L`i = b1 Overhang Factor SC Shade Open SC Shade Open (Shade Open) (#12) (with Overhang) 15. I.o x �y = , Zo Overhang Factor SC Shade Closed SC Shade Closed (Shade Closed) (#13) (with Overhang) Fonn Revised Ma+h 1988 Projection Ratio: a Alm ,q S l' F— k^/ S - 2%?— 1, '1 n Interpolation, Weiglhted Average &.Addition Worksheet J1 IUAj 2ZZ-5M Project Title Dote a The use of interpolation is illustrated in Section 4.3 of the Energy Conservation Manual (ECM). Evaluate the expression between the vertical brackets, make it positive (+) whether negative or positive and add the value to the "Low Points" to obtain the Point Score. b Mixed raised floor/slab-on-grade construction and Glass Heat Loss are area -weighted according to point scores not U -values. Other measures are weighted according to their respective values (e.g., U -value, shading coefficient, HVAC efficiency) as explained in Section 4.2 of the ECM. Insulation may be weighted by point scores or U -values. c Different slab edge types and duct conditions (duct insulation and location) are weighted by length. All other measures are area -weighted as explained in Section 4.2 of the ECM. d Compliance of additions with the point system is described in Section 4.4 of the ECM. INTERPOLAT10Na Value Value Value Low for Low Actual High Low for Low for High Item Points Points Value Points Points Points Points Point No (A) (B) (C) (D) (A) (B) (E) Score Z -1 + )X( o - —I ) + ?-1 -Z + I( o - to )X( —1 - -z ) + ( o - )1 = -1.4 + I( 3 - 2.1 )X( -z - -S) + + 1( J___ " Z ) X ( + o )1 = 2 . l� _ C> + �( .5c� .58 )X(�) - o ) + &0 )I = 1•S + I( _ )X( - + ) + uZ 3 �4 WEIGHTED AVERAGE Weighted Item Type Type 1 Type 2 Type 2 Type 3 Type 3' Total AveraV No. Value Areas Value Area Value Area Area` Value (( c,"7 )X( 10,)+( •77 )X( I)+( — )X( — )] + 27S = .73 [( )X( )+( )X( )+( —)x(—)] + _ [( )XC )+( )X( )+( )X( )J + _ (( ) X ( ) + ( ) X ( ) + ( ) X( [( ) X ( ) + ( ) X ( ) + ( ) X( A + _ [( ) X ( ) +( ) X ( ) +( ) X( )] + _ (( )X( >+( )X( )+( )X( )I + _ POINT GOAL OF EXISTING -PLUS -ADDITION Existing Existing Existing -Plus Building Building Addition Addition Addition Point Point Total Area Point Goal Area. Arca Z t� [( ) X ( ) + ( 0 ) x (_A + _ Form Revised March 1988 "We Nelp From Finance to Finbh" �UM�>✓R- b1�1�1orJ NTIiJ`. �C.7U IPM�tdT 1dtZlt!Jri tM f'wAY,-- GI?'� 2�-Y C��� �o.TL cam, Z 74, tJsl [z— b�Yv� TQM PF -7 P TU P -M ... 70 40 0 F16 U VA. O =v eyr u /P �- SU P�ToT�I� m 21 3 11,1 � 1 �Tc�-T I Otl ��1✓T� c� ��Ioo�.p.�ox.olt� 4TH �U gT�TAt, rJ m -{-© ®--2 -g —bo I �U GT N F AT LG�� l� x (® ZOt- I _ �i2-1 uNA 4E--f1A/NR 1 _ r .3 2 `1 ► + (I O.O :.F�TE� �af�Co ®!o6 4- IvtIf.11MUf✓1 N�TIrJ� F�UIPM�►�T o1�+TP�.IT : �aor.� �iNav� 3Z�9 1 MA.�cltitu� H�,i INS ,�t?tvl T ouTF7L4T F -aa V. 1,I r- � '•ft� •; ' X1,4; �1' .I i .: j .. Y I 00 O � �Q mz�n��i� I� � � � m � o � � `fir' 00 17 • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 96965 - Telephone: 916/535-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL ilil!!M999 61-48-34 -- ZONING --'--'- J BUILDING PERMIT OWNER BRUCE c- FEGGY JERAIIGAR? HNTELEPOE SO FT OCC. BUILDING VALUATION 3RD RENEWAL OWNER'S MAILING ADDRESS 208 BELL RANCH RD BERRY CREEK 95916 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee -,1T FEE $ 168.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 208 BELL RANCH RD BERRY CREEK Permit fee $ 183.50 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF XJ Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'n Describe work: 3RD -RE}T^W� DE BR�782_99 _ 0ST/1042-90, 2ND/1033-91) Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 F_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20CATo 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One : ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CON5TR ULTI.OUTLET NON •R ESID BRANCH CIRC ITS @ 5. 00 W POER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue against said County in ceq nce of the granting of this permit. �'^ Date 3-927—f-2 Signature of ApOwne Contractor E] Agent E:1sions plic — An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONSTTYPE TOTAL FEE $ 1 . 9 HAz DFEES IMP FLOOD cDF PARCEL PD HD Issu i This permit is hereby issued under the applicable provi of the Butte County Code and/or resolutions to do Work i Ic ted ab f hich fe a been paid. &DIR P BLI KS ER • ES Date Datf Receipt No. WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ma'labor and materials for construction of the proposed property improvement yes or no) --I. 2. I ( a�ve/have not) 1/P. signed an application for a building permit for tie proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinateXA p vise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner ✓u�2� L Social Security Number ' — Date 3--2 7 —5�Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California.V5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 61-48-34 ZONING U BUILDING PERMIT OWNER Bruce & Pe Jernian TELEPHONE SO. FT. OCC. BUILDING VALUATION nd renewal OWNER'S MAILING ADD S 208 Bell Ranch Rd. Berry Creek 95916 CONTRACTOR'SNAME TELEPHONE pwnpr CONTRACTOR'S MAILING ADDRESS Fireplace l ft CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee iFEE $ 168.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 909 RP11 Ranch Rd. 'Rprr3Z Creek Permit fee $ 178.so PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME PARCEL MAP 88-67 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU" Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe wor<: 2nd renewal of BP#782-89 (1st renewal/1042-90) 1A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. ) 2/4sgit NEW CONST11- ULT' -OUTLET NON.RES'D BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .20 @50C ALO 30q FIXED APPLNS.OR \ Ex. Occup. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. KI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in equerip of the granting of this permit. / /O,_// XC_ Date '7 Signature of App li — 0 r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E 178.50 HAz CUA PARK SCHL PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work in ate above for which DI T OF P B 4-9? PERMIT EXPIRES Date -4-94- the applicable provi- resolutions to do es have been paid. WORKS Date hol Receipt No. —2l, (56 -Z J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1 01MER-BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this -verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property //improvement des or-eto 2. I (have/h—a�) signed an application for a building permit for the proposed work. 3: I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and pro de the major work: Name Address V City Phone ontractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 'e,., Social Security Number Date NOTE: This Owner -Buil "Verification is sent to you required by Sections 19831 and 19832 of the alifornia,Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit: j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.California 95965 -Telephone: 916/538-7541 ^,p � / APPLICATION AND PERMIT �✓`C ASSESSOR PARCEL NUMBER . 61-48-34 ZONING 11 BUILDING PERMIT OWNER Bruce& Pe TELEPHONE SO. FT. OCC. BUILDING VAL P n P wq4 ` OWNER'S MAILING A ESSr 208 Bell Ranch Rd. Berry Creekt CONTRACTOR'S NAME owner TELEPHONE aX CONTRACTOR'S MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 FF.F. $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ree Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 208 Bell Ranch Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME PARCEL MAP 88-67 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Z Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TG W 10.00e 49 TYPE OF WORK New DX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1St Renewal of BP#782-89 _ 0-262 t® Vt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare udder pen of perjury (check one): ❑ I am ilc nsed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ki License No. Classification 4`/ I, as the owner, or my employees with wages as their sole compen- J� sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , 2/4sgft NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. O Ex. ccu Ep(ou7LE7S OR FIXTURES BAL@AL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Virin 9 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare and enalty of perjury (check one): ❑ Th permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Kceto Not Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost penses which may in any way accrue again said County in con uence of a granting of this permit. ate _ C ractor ❑ Agent ❑ S' nature of Applicant'�fore.c.v n OSHA permit is quions over 5'0" deep and demolition or construct- ion of structures CoVer 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE OU TOTAL FEE $ 1 ALSCIIE HAZ CUA PARK PAR PD Ho ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work n ated above for which fee DI OF PUB I B PE MIT EXPIRES Date 4-24-91 the applicable provi- resolutions to do have been paid. ORKS Date V 9(0 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE r Department of Public Works 7 County Center Drive, Orovil;le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538. -7541 - An "owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor a d materials for construction of the proposed property improvement :(yes or no) Y r 2. 1av /have not) Q�/ signed an application for a building permit fo� proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name '414, - Address Phone Contractors License No. City 4. -I plan to provide por ions of this work, but I have hired the following person to coordinate, su e, and provide the major work: Name Address l' City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name 4J7,� Address Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. k i..Oiling Insulation -4 -0 • Number of stories -1 R -value One Two Three R -o -103 -49 - -32 R-19 -8 -4 -2 R-30 -2 -1 -1. R-38 0 0 0 U -value Glass Single Double .60 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 12 28 -55 -18 2. Wall Insulation -2 5 13 Single- Single - -9 -2 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 8 15 22 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 4 9 Insulation in Floor 17 15 Number of stories 10 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -6 7 10 13 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace less -15 -5 +5 Number of stories 1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 5 5 4 3 3 2 " Number of Stories 17 15 13 11 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -0 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 na 16 4 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Ltakage) 7. Shading (Shade Open) Effective Percent Clan (percent liras x SC) Effective Specification Eff. % Glass Interior Points %Glass North - Standwd = . --- Skylight -0 1 6. Glass Heat Loss 1 na 16 4 Total 5 1 na U -value 2 Percent 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 . 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 it -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Clan (percent liras x SC) Effective SC Eff. % Glass Interior Slab Floor Raised Floor %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8. 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 is = not allowed 1 -1 -2 -1 13. Shading (Shade Closed) Effective Percent class (percent glass x SC) Effective SC Eff. % Glass Interior Slab Floor Raised Floor Mass %Glass Norlh 'East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .-29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 •4 -14 -19 -18 -47 4.5 3 3 -1114 6.. 5.0 4 -38 (5� -2 -9 8 9 11 -10 -30 d 1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . net allowed Family Family Multi -15 -5 Mass 9. Interior Thermal Mass. SC Eff. % Glass Interior Slab Floor Raised Floor Mass Stories_. _ _.Stories 1199 /CFA One Two Three One Two Three 0.0 -8 .5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - -410 +6b Wall Family Family Multi -15 -5 Mass Detached Attached Family 0.00 0 0 0 -17 0.20 3 2 1 -12 0.40 5 4 3 -4 0.60 8 6 4 -3 0.80 10 8 5 0 1.00 13 10 7 0 1.20 13 12 8 5 1.40 12 13 9 16 1.60 10 13 11 5 1.80 10 12 12 13 2.00 10 11 13 ) 11. Heating System 15 12 8 SE or RSPF 30 26 22 18 (assumes ducts In attic) 9 13.0 33 Sum of 1-6 20 15 10 -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 Effective SE or HSPF -23 (SE or HSPF x duct elTiciency) -11 Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 1 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 0 System Type 0 IE None Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 C/, a CY 12. Cooling Syst,:m SC Eff. % Glass Unit Size (sQ "),a Water SEER__ 1199 1200 1700 2200 2700 (assumei ducts In attic) nr b to Sum of 7-10 or Type Type -2S or -24 to -tato -410 +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 -10 7 6 4 3 12-0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -18 -12 Effective SEER -7 -6 IG None (SEER x dud efficlency) -3 -2 -2 Sum of 7-10 Solar Effective -25 or -24 to -14 to -410 +6b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 2 7.0 0 0 0 0 0 0 8.0 9 11 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 0 Zonal Control Adjustment Solar 14 10 3 7 6 4 3 HWR No Cooling System Installed 5 3 Stories 2 WSB 9 4. One -5 -4 -4 -3 -2 -2 Two+ 3 3 .2 2 2 1 Single-Famlly Detached and Attached I Interior Mass/CFA t Ty Vc 2 MSS _l1.7wINC•4.2). __-_ _-.. ,..:, =-----t-TYPE-t_MASS=tUIMC-1-4.7�'ie osed-_... slab) --- (carpeted .1_bl �- V. 5% 1095 15% 2W11. 2511. 30% 35%. 40% 45% 50% 55% SOY. 65y. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120-1.125 DY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 3.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 17 3.9 4.1 4.3 4.5 4.8 5 5 2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 2.8 3 3.2 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 • 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 Z7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.61.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 eO% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5 4' 5 6 5.8 6 6.2' 6 4 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 NY. 1.5 1.7 2 2.2 24 26 213 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5 6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 3 a or R -value 138] U -value [0.030] 2. Wall Insulation or R -value [I I] U -value [0.098] 3. Raised Floor Insulation or R-value[19] U -value (0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [0] F2 factor [0.77] Standard `!Sate eit-& .(05, Type [double] U=value [0.65] Point Scores 0 % Total Glass [ 16] Sum 1.6 % Glass SC Eff. % Glass Unit Size (sQ "),a Water 1199 1200 1700 2200 2700 Heater Credit nr b to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 0 5 4 3 3 SE or HSPF WSB 5 3 3 2 2 HSPF [0.56/5.15] POU 8 5_ 4_ 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10' -8 POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3, - _ 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar e 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) Unit Size (SQ Water Rig 700 1200 1700 2200 Heater Credit or b to to or Type Type loss 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4. 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1. 1 0 0 HWR -23 -12 -8 -6-5 WSH -25 -13 -8 -6. -5 ' QOU _23 -12 _-8 -6 -5 IG None -8 -4 _ 3 .2 i -2 Solar 6 3 71 1 POU '1 0 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 . 9 6 4 4 POU -8 -4 -3 -2 -2 I Interior Mass/CFA t Ty Vc 2 MSS _l1.7wINC•4.2). __-_ _-.. ,..:, =-----t-TYPE-t_MASS=tUIMC-1-4.7�'ie osed-_... slab) --- (carpeted .1_bl �- V. 5% 1095 15% 2W11. 2511. 30% 35%. 40% 45% 50% 55% SOY. 65y. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120-1.125 DY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 3.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 17 3.9 4.1 4.3 4.5 4.8 5 5 2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 2.8 3 3.2 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 • 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 Z7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.61.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 eO% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5 4' 5 6 5.8 6 6.2' 6 4 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 NY. 1.5 1.7 2 2.2 24 26 213 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5 6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 3 a or R -value 138] U -value [0.030] 2. Wall Insulation or R -value [I I] U -value [0.098] 3. Raised Floor Insulation or R-value[19] U -value (0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [0] F2 factor [0.77] Standard `!Sate eit-& .(05, Type [double] U=value [0.65] Point Scores 0 % Total Glass [ 16] Sum 1.6 % Glass SC Eff. % Glass Eff. % Glass "),a X 3 x�- X /o d X .7,2 9 X .77 .69(. --®- X X % Glass SC Eff. % Glass "),a X 2.3 X q x .69(. X TYPE 1 MASS AREA = B Interior N•iss/CFA COND. FLOOR AREA TYPE 2% AREA 8 Exterior Wall Mass Exterior ONNED L OR AREA SE or HSPF Duct Efficiency [0.78] Effective SE or (0.7216.6] HSPF [0.56/5.15] t� X y =� SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] t� Credit [none] Type [SG] t-;?- Point Total: TO Certificate of Compliance: Residential Climate Zone 11 010 s BA&` As uc# A0 Project Address Documentation Author Telephone BUILDING DATA Condi ' esl• r Area �s J • Slabs [qO ingle Family Detached (SFD) [ I Single Family Attached (SFA) [ ] Multi -Family (MF) BUILDING SHELL INSULATION Number of Stories. Number of ..Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. A r Wall ............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices tp Build' P it M Checked By/ Date Enforcement Agency Use Onlv Glass ea % Glass North �3 East South D, West Skylight Total Any,/ . GIazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roUer blind. etc.) (shadescreen, etc) (yew%o) (metaitwood) North ( ) .,j O+xI®ttif !►bIlF.it_ North ( ) -AS, East N4 East South Sou th ( ) West ( ) •" ., West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) LOCadorO)csCription (kitchenu bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) AAA& as � a Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) 1A* 44-S Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measuresregardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R.I 1 weighted average (dors not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 petm(tnch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltra6on/Eafiltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows watherstripped; all joints and penetrations caulked and scaled 02.5352(c): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. . 1 2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach akulations. §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. i - §2-5316(b): Exhaust systems have damper controls. I - e §2-5314 Gas-fired (). space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment, water haters, showerheads and faucets certified by the CEC. I§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Hating 1. System has: a. On/off switch on hater. I b. Weatherproof instruction plate on hater. c. Plumbed to allow for solar. i 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or grater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building: i Designer Naffw MUWFum Addmss- . Telephone l ic. 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